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Old 18.06.2021, 13:47
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[Ladies] Contreceptive pill prescription....

When I first came to Switzerland and went to get a prescription for the pill, I was told that here you had a smear test every year (unlike the UK where it is every 3 years) and it was implied this was necessary to get the pill prescription.

So since 2012 I have done that every year and my insurance covered the bill. This year, my insurance (Sanagate who have been taken over by CSS) have refused to cover it, saying I'm only entitled to a smear test etc every 3 years.

Has this changed recently? I'm sure I would not have made this up as in the UK it was always 3 years and it's not something anyone enjoys going for

Now what? Can I just get a prescription in the other 2 years in-between with no check-up? Do I just pay out of my own pocket? I emailed my Dr to ask, but they haven't bothered to reply.
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Old 18.06.2021, 14:24
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Re: [Ladies] Contreceptive pill prescription....

I havenít taken contraceptives myself but I have had to have several smear tests within the span of 3 years, 18 months between the first two, then six months then a year. My insurance never batted an eyelid but the gynecologist also made it clear these were necessary tests. Of course these were paid by myself but they count toward my deductible.

I would say give the gynecologist a call and talk to them about it. Emails donít seem to get anywhere hereómy doctor had to email me a document for my tax return and the office called me as they sent the email to make sure Iíd get it. Being of my age group and from the US I have always found the lack of email responsiveness funny here considering nearly all of my communication was through electronic means ďback homeĒ, even often with doctors offices. A phone call does wonders, or if itís a small practice just pop in and chat with the secretary.
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Old 18.06.2021, 14:29
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Re: [Ladies] Contreceptive pill prescription....

Due Covid, I canít just pop in without an appointment. It seemed much easier to put all the information in an email and have them answer when they have time, rather than call when they are busy with patients and donít have the info to hand - but apparently not
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Old 18.06.2021, 15:24
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Re: [Ladies] Contreceptive pill prescription....

In the US, the guidance for how often one needs the test changed sometime between when I started getting them and when I left. Perhaps that has finally happened in Switzerland, where things sometimes happen...a bit... more slowly.
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Old 18.06.2021, 15:38
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Re: [Ladies] Contreceptive pill prescription....

As I understand it a smear test is only covered once every three years under basic insurance unless the gynaecologist states a valid reason for requiring them more frequently.
I donít believe taking the contraceptive pill requires a smear test every year but will probably require a visit to the gynaecologist for the prescription renewal. That should be covered as a general visit.

Having said that I have one annually and my insurance has always paid, I think some insurers are more generous than others when applying the rules.
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Old 18.06.2021, 20:10
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Re: [Ladies] Contreceptive pill prescription....

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Having said that I have one annually and my insurance has always paid, I think some insurers are more generous than others when applying the rules.
Can you maybe share the name of insurance and option you have?
Assuming it's your basic insurance that covers it, not additional one....

Also, who can give you prescription for the pills?
I mean, I'm planning to take call med version, so I was wondering if they could issue me prescriptions in those 2 years between officially covered gyn exam?
Such call should be cheaper than visiting gyn just for one paper and no exams, no?
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Old 18.06.2021, 20:32
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Re: [Ladies] Contreceptive pill prescription....

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As I understand it a smear test is only covered once every three years under basic insurance unless the gynaecologist states a valid reason for requiring them more frequently.
I don’t believe taking the contraceptive pill requires a smear test every year but will probably require a visit to the gynaecologist for the prescription renewal. That should be covered as a general visit.

Having said that I have one annually and my insurance has always paid, I think some insurers are more generous than others when applying the rules.
I have a Pap smear yearly, but I had breast cancer nearly 11 years ago so I suppose I’m at higher risk. I can’t speak to contraception coverage…too old for that sh*t. Pap smear is covered (I have Swica, telmed, basic).

Either your gyn or gp can write the script.
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